24 chickens in Cipatat was destroyed

OFFICIALLY Livestock Breeding and Bandung Regency fisheries West (KBB) yesterday destroyed (depopulation) around 24 chickens belonging to Isom Sopandi, 70, the resident of the Village of Andir RT 02/14, the Village of Cipataharja,Kecamatan Cipatat, KBB, that was infected by the bird flu virus.

The official was forced to dig up the cemetery 14 chickens that have been buried and killed the hen as well as his child that was numbering 10 tails that still to be alive. Official also destroyed two chicken coops belonging to Isom. The official of the Health of the Animal and the Health of the Veteriner Community of the Section (Kesmavet) the Livestock Breeding Service and fisheries KBB the smoke of Setiawan mengatakan,depopulasi selective or limited by being burnt this was carried out so that the virus that has descended on chickens and his pen did not spread. Since, worried this bird flu virus infected the community around especially that was directly neighbours with the Isom family. ”Depopulasi this was carried out to kill the virus that already penetrate to the animal including his pen. The total chicken that has been destroyed by us around 24 of ekor,”kata Asep in process gaps of depopulation yesterday. In the same opportunity, the Village Head Ciptaharja M. Iyas said, in his territory was gotten by the chicken population or the poultry in large quantities.

Therefore, his side worried if being not carried out by depopulation and disinfectant, this bird flu virus will spread and about the other poultry. He estimated the chicken belonging to the resident reached 25,000 tails. The number not yet including the chicken that was gotten in livestock breeding of PT Poskar that reached approximately 60,000 tails. Iyas admitted to contacting the poultry farm manager and ask for to carry out anticipation so that the bird flu virus does not spread to their animal of the property livestock. He also asked for the livestock breeding side mengarantina chickens including the normal official cleaned the chicken coop. Because, if they already infected, will be easy to spread him to the other animal or humankind. ”Karena the poultry population in this territory many, then must be carried out by the prevention immediately. This depopulation was the matter that must be done and sterilised the place of the incident because worried still had the livestock or the pen that already terkontaminasi,” said Iyas.

Isom personally admitted to not objecting the chicken togethered with his pen dimusnahkan. Hal that to prevent so that the illness that fell on his chicken does not spread to humankind. He claimed worried because of seeing the case that struck the resident in the neighbouring village that infected bird flu from his kept chicken. (superior haryanto)

Two Suspect Flu Burung Kabur from RSHS Bandung

[Toggletext and dictionary]
Tuesday, 07 April 2009
Two patients suspect bird flu that was treated in the Hasan Sadikin Hospital (RSHS) Bandung escaped. AM, 26, and Fai, 14 months, the patient from the Village/the Subdistrict of Cipatat,Kabupaten Bandung West (KBB), was known left special maintenance space of bird flu (the Poinciana Tree) last Monday (6/4) around struck 12,00 WIB. The escape of the two patients was acknowledged by the Managing Director RSHS Bandung Dr Cissy RS Prawira Kartasasmita. He said, both of them made use of the official's carelessness of the security unit and the nurse of Poinciana Tree space. ”Mereka not bolted, but went out without permission. He (AM) has come home had. At that time, the official and the nurse were having lunch, possibly he made use of torque tersebut,” said Cissy to the reporter in RSHS Bandung yesterday.

When bolting, AM patient brought his child, Fai. Although the two patients suspect this bird flu bolted, the RSHS side will not carry out the search. ”Because, the laboratory side has stated the negative to the two patients those,” he said. Now, when both of them positive bird flu, his side will at once drop the team off to look for them because of being worried infected the other resident. ”If the positive patient, we will bring returned to the hospital. Although in this manner, we coordinated Officially Health Department local to monitor them,” firm Cissy. According to him, if the patient wanted to come home had to have to to continue to say goodbye to the official. However, the security unit's member who was on duty at this room also did not know that the two patients escaped. Uptil now Poinciana Tree space was minded by one of the security unit's members, whereas the gate headed there was not locked.

The incident just the first time was experienced by RSHS. Karena, his side will tighten the security, including increasing the guard's personnel. ”We will increase the guarding but also important parts like the window or the door would restricted,”ujar him.

Nginap in the Parent-in-law's House

In the meantime, after bolting from RSHS Bandung, AM and Fai learned by now to be at house parent-in-law [a parent of a person’s spouse] in the Village of Cikokosan RT 01/06, the Village/the Cipatat Subdistrict, KBB, that be at a distance around 8 km to the north from casualties's house in the Halte Village of RT 1/19 the Village/the Subdistrict Cipatat. On arrival they were at once reported by the resident to the government side of the local village. Village apparatus then at once headed the location by bringing one ambulance. The village head Cipatat Darya Sugangga said, at this time his side was persuading AM in order to want to return to the hospital. Darya worried if being not treated in the hospital, the condition for the health of the two patients will be increasingly bad, especially his youngest child, Fai, that still was 14 months old. Nevertheless for the sake of pleasantness process “abducting” to return suspect bird flu above-mentioned will carried out day this around hour 10:00 WB.

Escaped whether second positive or negative contracted bird flu, both of them continued to have to undergo the maintenance in the hospital. He admitted to accepting escape information of his two residents from the doctor who treated them. ”We still tried to persuade casualties so that wanted to return. To him, we stressed, they were not yet it was said positive bird flu because at this time results of the inspection of the doctor's laboratory did not yet go out. For the sake of the security and the health service that good, he was asked to return to the hospital and that will be carried out tomorrow (today) ,” said Darya when being contacted SI through his cellular phone. Contacted was separated, the Sub-district Head Cipatat Eriska regretted the weakness of the security in RSHS that caused two patients to be able to slip away from observation and bolted easily. That was very dangerous moreover if being proven both of them positive infected the bird flu virus because of could spread quickly to the other resident.

“Hopefully guarding carelessness of the patient in RSHS this was not repeated in afterwards hari,” said Ersika. He suspected, the AM escape and F from RSHS because worried with the size of the maintenance cost during in the hospital that must be borne by his family. In fact, all the maintenance fees have been borne by the government. His side then issued the certificate of the poor family the area (gaki you) for casualties so as to be able to be freest from the medical treatment cost. As being reported, AM was reconciled the Cipatat Community Health Centre to RSHS Bandung last Friday (3/4) around struck 23,00 of WIB. Sementara his child, Fai, entered on Saturday (4/4) around struck 12,30 of WIB. Keduanya immediately was treated intensive in Poinciana Tree space. When arriving in RSHS, his condition in the hot situation was high enough to be accompanied by the cough. The RSHS side at once examined the two patients because of being worried by them indeed infected the virus H5N1 because beforehand they had contact with the poultry and had the poultry belonging to their neighbour who died suddenly.

Apart from AM and his child, four other residents who were the family and the AM neighbour also infected suspect bird flu. The four of them suffered was sick with the sign like hot, breathless, pilek, and the cough. The four people namely At, 65, that was the AM father; Wir, 2, and Wel, 2, both of them the AM twin; also the AM neighbour, Dik, 2. Beforehand, as many as 70 chickens died suddenly in the Halte RT Village 1 RW 19, the Cipatat Village, Kecamatan Cipatat, KBB, since Wednesday (1/4) to the end of last week. The chickens were based on results rapid test positive infected bird flu and infected six residents. At intervals of two days, around 11 chickens belonging to Isom Sopandi, 70, the resident of the Village of Andir RT 02/14 the Ciptaharja Village, the Cipatat Subdistrict, also died suddenly. Now, his eight property chickens that still were living, after being carried out rapid test, positive contracted bird flu. (yugi prasetyo/superior haryanto)

Serang bird flu the Child the Egyptian Resident

[This is from The Infection hospital Prof. Dr. Sulianti Saroso site, infeksi.com, out of Indonesia, regarding Egypt]

06/04/2009
A Egyptian male child who was six years old was attacked by the deadly bird flu virus, the sixth case in this month in the Arabian country have a population solidest, said the MENA News Agency. MENA identified the child as Ali Mahmoud Ali Somaa, that came from the province Nile Delta Qalyubia. Penjangkitannya increased the number of cases was confirmed the virus avian influenza H5N1 became 63 in Egypt, that was attacked more serious compared with the other country outside Asia. The spokesperson the Ministry of the Health Egyptian Abdel Rahman Shahine said, Somaa began to show signs of the illness of two last week and was treated in the hospital a week afterwards, where he was given medicine antivirus tamiflu, said MENA. Somaa was in the critical condition and breathed with help of the respirator, added the news agency.

On Friday, Egypt reported that a baby was 21 months old teserang bird flu. Since 2003, the virus H5N1 infected at least 410 people in 15 countries and killed 254 people from them. The virus killed or forced elimination more than 300 million poultries in 61 countries in Asia, the Middle East, Africa and Europe.

Approximately 23 Egyptian residents were killed resulting from terjangkit this virus, most after carrying out contact with the poultry piaraan that was attacked in the country, where around five million families begantung to the livestock animal as the important source of food and the income. Although H5N1 rarely infected the person, the experts revealed the concern that the virus would bermutasi became a form that was easy to be contagious from humankind to humankind, that possibly lighted the plague that could kill millions orang./kompas

Officials quarantine western Kentucky poultry farm after bird flu discovered

April 7, 2009

By Roger Alford

Story Tools

FRANKFORT, Ky. (AP) - State and federal authorities are investigating an outbreak of bird flu on a poultry farm in western Kentucky.

State Veterinarian Robert C. Stout said the strain discovered is "nonpathogenic or low-pathogenic" and poses a minimal risk to human health. Stout said it is not the "high pathogenic strain" associated with human and poultry deaths in other countries.

Stout quarantined the farm, which produces hatching eggs for Perdue Farms Inc. He said some 20,000 chickens have been euthanized.

"It does occur naturally in wild birds and it can spread to domestic birds, which is why we have the occurrence in Kentucky," said Cindy Ragin, a spokeswoman for the U.S. Department of Agriculture. "This is something that is not uncommon."

Stout declined to identify the farm, but he said it is near Brownsville in Edmondson County.

"The state and federal government and Perdue are acting aggressively to contain and eliminate the disease," Stout said. "There is no evidence that any infected poultry are in the human food supply as a result of this infection. We will do what is necessary to minimize the disruption to overseas trade."

Already, Stout said, Japan and Russia have banned imports of poultry from Kentucky.

The Kentucky Department of Agriculture is conducting surveillance on backyard flocks within a two-mile radius of the farm.

"The people of Kentucky and our trading partners should rest assured that we are doing everything possible to address the situation," Agriculture Commissioner Richie Farmer said.

Stout said a minimal drop in egg production at the farm was noticed in mid-March. Perdue's veterinary services laboratory took samples from chickens at the farm and found antibodies for avian influenza.

Testing by the National Veterinary Services Laboratory in Ames, Iowa, resulted in a presumptive positive finding for the H7 strain. Subsequent testing by NVSL and the Breathitt Veterinary Center in Hopkinsville confirmed the finding.

Stout said it was the first confirmed case of bird flu in Kentucky.

In 2007, two outbreaks occurred in turkey farms in Virginia and West Virginia. Some 25,000 turkeys had to be euthanized on each farm after the pathogenicity avian influenza was discovered.

Bird flu is a virus that affects domestic poultry and some wild birds. It is spread by direct contact with infected birds.

Needed RS [Hospital] Fast Preceptive during the Disaster

7/4/09

Rumah Sakit (RS) or health facilities and the health power in the middle of an emergency became the theme of the Health Se- Dunia Day warning on April 7 this year.

The organisation of the Health of the World (WHO) focussed on RS, to be precise RS that was safe in the middle of the disaster, as well as the preceptive health power the disaster.

According to Director General WHO Dr Margaret Chan, when RS or other health facilities collapse when the disaster happening, the life that depended on the maintenance in emergency could be lost. In the condition for the emergency, like the flood, the earthquake, several countries lost the RS capacity as far as 50 percent exact at the time of the service critically urgent really was needed. The RS security included construction endurance, planning, and the preceptive training of the emergency.

Moreover, said Margaret, RS readiness must be in the disaster situation begun from the simple early-warning system, protected equipment and equipment to prepare the staff helped casualties in the mass number and did not lose important was the control of the infection.
-snip-
Foundation/Base/Rational

Beside the natural disaster, the plague of infectious diseases also became the cause of the death. In 12 months till May 31 2008, 162 plagues of the infection happened, a third him happened in South Africa. Especially in overcoming the plague of the illness that the level of his spread was high, like bird flu (Avian influenza), was needed by RS that had facilities that were good for treated the patients, including protecting the health power from the spread.

An emergency did not only have an impact on humankind, also had a big impact on RS, the clinic, and other health facilities. Even, when destruction of the infrastructure of health facilities, precisely happening health facilities were most needed. For example when the tsunami in Aceh, happening 61 percent broken of health facilities. In Singapore, for example, there was RS that especially for infectious diseases, namely RS Tan Tock Seng, Di Jakarta, there was RSPI Sulianti Saroso. In Hong Kong, the local government built RS with modern technological facilities to anticipate infectious diseases, learned from the plague of the acute respiratory syndrome serious (severe acute respiratory syndrome/SARS).

Damage could also happen in the middle of the conflict. Why must health facilities stay safe in the situation kedaruratan? According to WHO, there were three reasons. Firstly, health facilities and the health power helped rescued the life and protected the health. Secondly, protected investment, because constructive repeated RS that was broken made the burden of economics bigger. Thirdly, maintained the social stability. RS was the protected place for the community while the conflict, and RS were neutral.

CIDRAP: News Scan

Apr 6, 2009

H5N1 strikes another Egyptian child
Egypt's health ministry said yesterday that a 6-year-old boy from Qalyubiya governorate, just north of Cairo, is hospitalized in critical condition and on a ventilator with an H5N1 avian influenza infection, Egypt-based Strengthening Avian Influenza Detection and Response (SAIDR) reported yesterday. He got sick on Mar 22, was hospitalized on Mar 28, and received oseltamivir (Tamiflu) on Apr 3. The report did not say if the boy had been exposed to sick or dead poultry. If the World Health Organization (WHO) confirms the boy's case, he will be listed as Egypt's 63rd H5N1 case-patient, of which 23 have died of their infections.
[Apr 5 SAIDR report]

Kentucky and Germany report H7 at poultry farms
Agriculture officials in Kentucky announced on Apr 3 that they were investigating a suspected low-pathogenic avian influenza outbreak at a broiler/breeder farm in the western part of the state. The farm processes hatching eggs for Perdue Farms, Inc., which in mid March noted a drop in egg production and found that the birds had antibodies for avian influenza. Testing by the National Veterinary Services Laboratory (NVSL) in Ames, Iowa, found evidence suggesting exposure to an H7 virus, and further tests confirmed the finding. Perdue plans to cull 20,000 chickens from two of the farms' barns, and state agriculture officials are conducting surveillance within a 2-mile radius of the farm. Elsewhere, animal health officials in Germany will cull 17,000 turkeys at a commercial farm in Kleve district in the western part of the country near the border with Holland after a low-pathogenic H7 virus was detected in preliminary tests, according to a translation of a German media report that appeared on ProMed mail, the Internet-based reporting system of the International Society for Infectious Diseases. The samples are undergoing further testing at the Friedrich Loeffler Institute on the Isle of Riems.
[Apr 3 Kentucky Department of Agriculture press release]
[Apr 3 ProMed mail post]

Japanese researchers find raccoons had H5N1 exposure
Japanese researchers said today that they have detected H5N1 avian influenza antibodies in 10 wild raccoons, the first such finding in the country's mammals, the Daily Yomiuri reported today. They presented their findings at a conference of the Japanese Society of Veterinary Science and warned that infected raccoons could spread the virus to chicken farms. They based their findings on blood from 998 raccoons that were collected since 2005 from three locations in western Japan and one site in the eastern part of the country. They said that the 10 raccoons that showed H5N1 antibodies were probably infected by eating the carcasses of sick birds or inheriting the antibody from a parent. In December 2008, US researchers reported in Emerging Infectious Diseases (EID) that they found antibodies to a variety of influenza subtypes in raccoons. When they experimentally infected the raccoons, they found that the animals can become infected with avian and human influenza A viruses, shed and transmit the virus to other animals, and seroconvert. Raccoons have avian- and human-type cellular receptors, which could make the animals a mixing vessel for creating novel flu strains.
[Apr 7 Daily Yomiuri story]
[Dec 2008 EID report]
hat-tip Carol@SC

CIDRAP: Agencies build partnerships to dispense emergency medications

CIDRAP
Editor's Note: CIDRAP's Promising Practices: Pandemic Influenza Preparedness Tools (www.CIDRAPpractices.org) online database showcases peer-reviewed practices, including useful tools to help others with their planning. This article is one of a series exploring the development of these practices. We hope that describing the process and context of these practices enhances pandemic planning.

Apr 6, 2009 (CIDRAP News) - When dispensing a large number of medications during an emergency, one site might not be enough. Many US communities are seeking alternate methods of dispensing. One such method, which involves distributing medication through some agencies to reduce the influx at public sites, is called the "Push Partner Program."

The Centers for Disease Control and Prevention (CDC) has identified the need for communities to provide prophylaxis to 100% of their population within 48 hours. Some planners feel general public point-of-dispensing (POD) sites could not meet such high demand in a short time. The Push Partner Program, which is being used in several states, is one way to ease the burden on public POD sites.

This dispensing strategy involves "pushing" medications to partner agencies, such as community-based organizations and private businesses. These agencies then dispense the medication to the people in their organizations such as employees, employee family members, and even clients, if applicable. Unlike the general PODs, partner agencies are not open to dispense to the general public during an emergency.

The National Association of County and City Health Officials (NACCHO) is conducting a survey on the partnership between local health departments and their push partner agencies, said Katie Dunkle, a NACCHO program manager. She said she believes the alternate dispensing option is becoming increasingly popular.

"It is pretty overwhelming to hand out medications to the entire public within such a short period of time. A lot of health departments have started looking to community organizations and businesses to partner with to better accomplish this task in the event of an emergency," Dunkle said.

The Oklahoma and Oregon departments of health have had Push Partner Programs for more than 2 years, which may reduce demand at the regular PODs during an emergency.

Mark Schultz, LPN, MSM, is the western district coordinator for the Oklahoma State Department of Health. "Our largest push partner is Oklahoma University. They are able to dispense medication to up to 60,000 people during an emergency," he said. Continued
-snip-
hat-tip Carol@SC

Karen Grech Hospital to become avian flu emergency facility

Map of Gwardamanġa, Malta
Click on map

07 April 2009

The Karen Grech Hospital in Gwardamangia will be set up specifically to take care of any potential pandemic avian flu outbreak that many experts are certain will surface sooner or later.

During a press conference held at Mater Dei for World Health Day, Parliamentary Secretary for Elderly and Community Care Mario Galea and Parliamentary Secretary for Health Joe Cassar outlined Malta’s plans in case of natural emergencies, such as a pandemic avian flu outbreak.

Cassar said how the government was following advice from the European Centre for Disease Prevention and Control (ECDPC), and guidance from World Health Organisation (WHO) on how to address a possible pandemic avian flu outbreak, adding that Health Plans are being devised in a way that if a virus starts spreading, priority cases take precedence, while emergency operations are carried out and priority care is provided.

Cassar explained how, during a conference which he attended in Egypt recently, many experts were of the opinion that an avian flu outbreak was imminent, and that the only question was of when it would start spreading.

In this light, he said the government’s plans are based on various models of possibilities of how the pandemic flue could affect the country, particularly taking into considering the percentage of the population affected by the virus.

Principally, the plans aim for prevention and control, Cassar said. In case of a pandemic flu outbreak, the first priority would be to limit mass activities. Schools would be closed, he said citing an example, to limit the spread of the infection.

He added that, where possible, the virus would be treated and controlled by primary health workers and only bad cases would sent to hospital for intensive care.

Cassar also said how the Health division already has a stock of virus medication that is checked periodically.

The present stock of 25% he said, however, would expire shortly.

He spoke of the government’s plans to equip the Karen Grech hospital to deal with an outbreak should one surface, adding that the hospital would be fitted with temperature chillers and oxygen piping.

He explained that the decision was reversed in recent months because authorities preferred to first complete patient and staff migration. Since it has now settled down, following the completion of the migration, Cassar said that the hospital was now ready to be converted specifically to cater for a potential pandemic avian flu outbreak.

He added that the Government has already made arrangements with medicinal companies to obtain a vaccine for the virus as soon as one is developed.

-snip-

He added that, during emergencies, pharmacies and medical supplies would also be very important. In Mater Dei, he said, rucksacks and aluminium cases containing pre-prepared medical equipment are present which emergency workers can simply pick up and take to emergency areas.

Should an emergency arise, he added, parts of the hospital were built appropriately so that they can change according to the needs of the emergency, Cassar said, adding that one particular recovery area could be turned into an ITU bed ward.

Cassar also spoke how working priorities for staff would change during emergencies to focus on emergency cases. Elective surgery facilities would become trauma centres, and staff would take up emergency-related duties. He added that hospital staff was already trained to this aim, and protocols are already in place.
hat-tip DryHeat

Japan: 10 raccoons discovered with bird flu antibodies

The Yomiuri Shimbun - (Apr. 7, 2009)

UTSUNOMIYA--"Ten wild raccoons have been found with signs of previous H5N1 bird flu infections, according to a joint study by Tokyo University and Yamaguchi University. This is the first time mammals in this country have been found with bird flu virus antibodies, which develop as a result of infection. Before the discovery, only birds had been found with bird flu antibodies.

The research team, which presented a paper on its findings at a conference of the Japanese Society of Veterinary Science in Utsunomiya on Saturday, warned that infected raccoons could introduce the virus into chicken farms and noted that countermeasures were needed. It is believed that the H5N1 strain of the bird flu virus is highly likely to mutate into a new type of influenza. In Japan, there have previously been reports of domestic chickens, wild whooper swans, jungle crows and mountain hawk-eagles infected with the virus.

The research team collected and examined blood from 988 raccoons captured since 2005 at three locations in western Japan and one location in eastern Japan. In the blood of 10 raccoons from three of the locations, the team found antibodies that had developed after past H5N1 infections. In two of the three places, not even birds had been found with the antibodies before this time." - excerpt
hat-tip Rickk

Recombinomics: Toddler to Toddler H5N1 Transmission in Beheira Egypt

Commentary

Recombinomics Commentary 18:29
April 7, 2009

Boy, age 2, began experiencing fever and cough symptoms on March 27.
Boy, age 2, began experiencing fever, cough and runny nose on March 31.

The above comments describe the two most recently H5N1 confirmed toddlers in Egypt. These two cases were next door neighbors in the Kom Hamada district of Beheira and represent toddler to toddler transmission of H5N1. This cluster follows a spate of toddler cases in Egypt this year. 10 of the 12 confirmed cases have been toddlers and 9 of the 10 toddler cases have been mild. Both patients above are described as being in "good general condition" and will likely be discharged soon. None of the H5N1 cases this year in Egypt have died, which is similar to the mild cases of H5N1 in Egypt in the spring of 2007. However, unlike earlier cases, which included 6 toddlers over a three year period, the percentage of toddler cases has dramatically increased in 2009.

Although the two cases above are said to have had contact with dead or sick poultry, the confirmation of neighboring cases who developed symptoms four days apart is unlikely to be due to two independent poultry infections. There have been no confirmed poultry cases in the Kom Hamada area. Since March 1 there were 24 confirmed H5N1 poultry outbreaks in Egypt, and although 7 were in Beheira, these outbreaks were well to the north and not near the toddler cluster (see updated map). Over 60 outbreaks have been confirmed this season, and none were close to Kom Hamada. Similarly, the toddler case preceding the cluster was in Qena, and there have been no confirmed poultry outbreaks in Qena this season (see updated map).

Although there are clearly more H5N1 outbreaks than those confirmed, the targeting of toddlers raises concerns that old age groups have developed protective immunity, signaling a significant silent spread of H5N1 in Egypt. Over 6000 patients with poultry links have been hospitalized, but less than 1% have tested positive. However, it remains unclear if the low confirmation rate is due to an aggressive testing program, or a lack of sensitivity in the testing.

Confirmed H5N1 clusters have been rare in Egypt have been rare. The largest was the Ghabiya cluster at the end of 2006, but the prior clusters were among relatives and did not have the gap in disease onset dates. The Beheira cluster has the classical gap and there has been no indication that the two toddlers were related. Although it is likely that mild H5N1 has was transmitted human to human, based on the sequence identity between isolates from unrelated cases, the current cluster has the time and space signature associated with human to human transmission.

Sequences from this cluster, as well as testing of toddlers that have symptoms but lack a poultry link would be useful.
Media Links

The patient Suspect was treated Intensive

Rabu, 08 April 2009

-the Patient had the initials ”FO”, pre-schoolers suspect (was expected) bird flu was 1.5 years old from Dharmasraya, still was coiled around by the infusion on all over the of his body. During Padang Ekspres monitored the condition for casualties yesterday, several nurses guarded that was assigned in the door in front of maintenance space of the Isolation of Instalasi Rawat Inap C Penyakit Dalam RS Dr M. Djamil Padang, did not permit this newspaper to enter, on the basis of the condition for the patient still was not different far from the condition during the first time in treated in the hospital.

The head of the Field of Layanan Medis RS Dr M. Djamil Padang, Irayanti said, his side was still continuing to carry out the intensive maintenance against the patient. However, the hospital still could not confirm whether the patient was quite positive was contaminated by this deadly virus. ”Perlu had results of the Labor Party test against the patient. This test usually takes up time 5 days till 1 week. But that was clear, the handling against the patient continued to be carried out by us was as maximal mungkin,” he said.

The couple's child Ngatemen and Marsiah this was suspected of suffering bird flu, after experiencing the high fever was accompanied breathless during the last three days. During the last time was checked, haemoglobin of the patient's blood was abnormal, only 9.5 with the number of leucocytes as far as 15,000. According to the medical expert, this indicated the existence of the infection in the patient's body. Ideally, the number of leucocytes in the human body necessarily 6,000-10,000.

Indonesia Summary as of 4/7/09

West Java
Bekasi

Adm: 3/3
Name: R (5)
From: Karawang
Hospital: Mitra Keluarga Bekasi East
Sym: fever, shortness of breath
Recon:
Notes: contact w/positive poultry. Map: http://tinyurl.com/4ngovu
Confirmation: none
DOD: 3/4 (21:01 WIB)



Adm: 3/3
Name: Hermina S (29)
From: Kemakmuran, Margajaya village, Bekasi South Dist.
Hospital: Hermina, Bekasi
Sym onset:
Recon:
Notes: contact one w/positive dove, thrown away
Confirmation: none

Adm: 3/29/09
Name: R (50)
From: Kampung Pasir Konci RT08/RW03, Desa Sariljaya, Kec. Majalaya, Kab. Karawang
Hospital: RS Hasan Sadikin
Sym Onset: 3/21, fever, breathless
Recon: Lamerta Clinic and RS Dewi Sri, Karawang
Notes: On 3/23, fever & breathless subside. Reoccur on 3/28. Chickens died on his property and around the neighborhood.
Confirmation:
DOD:

Adm: 3/24
Name: UR (23)
From: Pelamunan IX Hill
Hospital: Hasan Sadikin (RSHS)
Sym Onset: At adm: breathless, high fever
Recon:
Notes:
Confirmation:
DOD:


Garut

Adm: 3/24
Name: Aning (30)
From: Tabrik Lebak Village, Cintamaya, [Kampung Pabrik RT 0l, RW 12, Cintanagara, Cigedug] Garut
Hospital: RSU Dr. Slamet Garut
Sym Onset:
Recon: Comm. Hlth Center
Notes: Became sick after his brother Ikah displayed symptoms. Currently no breathless, no fever. See notes under Ikah (35)
Confirmation: Negative (3/28) Home.
DOD:

Adm: 3/24
Name: Ikah/Eka (35)
From: Tabrik Lebak Village, Cintamaya, [Kampung Pabrik RT 0l, RW 12, Cintanagara, Cigedug] Garut
Hospital: RSU Dr. Slamet Garut
Sym Onset: on adm: limp, can not speak, cramps, high fever/breathless.
Recon: Comm. Hlth Center
Notes: Currently no breathless, no fever. Dozens poultry around residence, 50 meters away, died suddenly 1 week ago Neighbor suffered flu sym’s a few days later. Did not go to Comm. Hlth. Ctr. Not long afterward, abruptly Ikah had sym’s of high fever, crowded breathing, followed by Aning. Child, Yuyun (8) also had sym’s, but not serious. Treated normal maintence at home. Brother-in-law: Majid (34).
Confirmation: Negative (3/28) Home.
DOD:


Indramayu

Adm: 3/25
Name: Wasan (33)
From: Mangun Jaya village, Anjatan sub-district
Hospital: UGD RSUD Indramayu
Sym Onset: On admission: fever, breathless
Recon: Rumah Sakit MA Sentot Patrol for 1 day
Notes: contact w/dead chicken. 2 days later developed fever. Father: Raman (60)
Confirmation: negative (3/29). Diag: common fever
DOD:

Adm: 3/31
Name: Tarlan (60)
From: Telukagung, Indramayu
Hospital: RSUD Indramayu
Sym Onset: 3/24
Recon: Comm. Hlth. Ctr.
Notes: Darsinih (45) brother, Noni (50) wife. All 3 went to Comm. Hlth. Ctr. Darsinih diagnosed with bronchitis.
Confirmation:
DOD:

Adm:
Name: Ade (50)
From: Kampung Cikeukeup, Village Cidadap, District Campaka
Hospital: Sukabumi
Sym Onset:
Recon:
Notes:
Confirmation: Negative
DOD:


Bandung
Cipatat

Adm: 4/3
Name: Agung (25) (Father)
From: Cipatat, Bandung West, Halte Village (RT 01/19)
Hospital: RSHS Bandung (Sadikin)
Sym Onset: 3/31. On adm: fever, cough, breathless
Recon: Cipatat Comm. Hlth. Ctr.
Notes: Contact w/poultry. Surprise inspection from poultry die-off on Monday. Patients blood drawn.
Confirmation: Negative. Ran Out Hospital. Article states first test was positive. http://www.flutrackers.com/forum/showpost.php?p=217726&postcount=474
DOD:

Adm: 4/4
Name: Firman (14 months) (Childl of Agung)
From: Cipatat, Village Halte, RT01/RW04, Bandung West
Hospital: RSHS Bandung (Sadikin)
Sym Onset: On adm: fever, cough, breathless
Recon: Cipatat Comm. Hlth. Ctr.
Notes: Contact w/poultry. Surprise inspection for poultry die-off on 3/30. Father left hospital early with baby. 2nd test negative. 1st test positive.
http://www.flutrackers.com/forum/showpost.php?p=217726&postcount=474
Confirmation: Negative
DOD:


Adm: 4/4
Name: WI (2 1/2) child, WE (2 1/2) child of Agung above ; IN (2) not immediate family.
From: Kam. Halteu, RT/RW 19, Cipatat Bandung.
Hospital: RSHS Bandung Sadikin
Sym Onset: fever, cough, runny nose, breathless
Recon:
Notes: AT (65) Grandfather treated @ home. Reported by drh. Wiwin Aprianti on 4/4. Dead birds reported since 3/31. Ate sick chickens, fried. Children held sick poultry. Sick birds found previously but not in Cipatat.
Confirmation:
DOD:

4/7: KLB Declared.
11 chickens died, tested positive, belonging to Isom Supandi (70), resident of Kampung Andir RT 02/14, Desa Ciptaharja, Kecamatan Cipatat. 2 families (10 people) who lived next door, moved to relatives house for fear of catching bf.
Report that patients above have returned home.
http://www.flutrackers.com/forum/showpost.php?p=217658&postcount=464


South Jakarta

Adm: 3/4
Name: Sarah Dila Wulandari (4)
From: Jl Peninggaran I RT 04 RW 09 Kebayoran Lama north
Hospital: RSU Tangerang (22:00)
Sym Onset: 2/25, cough, fever
Recon: RS Fatmawati, RS Sari Asih, Cileduk (1 night) with x-ray diag: suspect bird flu.
Notes: Parents gave fever medicine on 2/25. Taken to RS Fatmawati, result bood test: negative. Fever increased, cough & crowded breathing.
Confirmation: Yes Local Media: http://www.flutrackers.com/forum/showpost.php?p=215607&postcount=369
DOD: 3/5 (22:00 WIB)


Central Java
Klaten

Adm: 3/3
Name: Hasan Saefullah (8)
From: Dukuh Jamban, Desa Sabrang Lor, Kec. Trucuk, Klaten
Hospital: RSUP Dr Soeradji
Sym Onset: [?] Sym’s: Fever, breathless
Recon: Trucuk Comm. Hlth. Ctr
Notes: Poultry died/tested positive.
Confirmation:
DOD:

East Java

Adm: 3/17
Name: R (2)
From: Sidokerto, sub-district Karangjati, regency Ngawi
Hospital: Dr Suroto, Ngawi
Sym Onset: 3/14, sym: fever, cough, occassional breathless
Recon: Karangjati Comm. Hlth. Ctr.
Notes: 30 chickens died nearby, tested positive. Father: Slamet
Confirmation: Negative (3/28). Diag: Bronchitis. Home.
DOD:

Adm: 3/19
Name: NY Semi (70)
From: Kanigoro Village, sub-district Saptosari, Wonosari
Hospital: Dr Sardjito Jogja
Sym Onset: 3/18 (?) fever
Recon: RSUD Wonosari
Notes: Dozen of poultry owned by him died, they were burnt.
Confirmation:
DOD:


South Sulawesi
Makassar
Adm: Posted on 3/5
Name: Anshar (3)
From:
Hospital: Wahidin Sudirohusodo
Sym Onset:
Recon:
Notes: currently improving
Confirmation:
DOD:


Riau

Adm: 3/21
Name: Wahyu Ibnu Saputra (2)
From: RT7/RW4, Kel. Tanjung Rhu, Limapuluh, Street Kuantan VII, Pekanbaru
Hospital: RSUD Arifin Ahmad
Sym Onset: 3/12 On adm: temp: 40 degrees, cough, breathless
Recon: RS Ibnu Sina, Pekanbaru on 3/15
Notes: Temp is down, breathing improving. Parents worked as breeders & duck traders. Evening of 3/25 condition deteriorated drastically.
Confirmation: Positive
DOD: 3/26
http://pandemicinformationnews.blogspot.com/2009/03/from-previous-post-rev.html
http://pandemicinformationnews.blogspot.com/2009/03/balita-deceased-kuantan-vii-positif-flu.html

Adm: Reported on 4/1
Name: Tumirah (59); Kadiran (64) Grandparents of Ibnu (2) confirmed.
From: Street Kuantan VII, Kedurahan Tanjung Rhu, Kec. Limapuluh, Pekenbaru, Riau.
Hospital: Arifan Achmad
Sym Onset: High fever
Recon:
Notes:
Confirmation:
DOD:

Adm: Reported on 4/3
Name: SP (15)
From: Village Sekijang, Pelalawan, Riau
Hospital:
Sym Onset:
Recon:
Notes: Article states 9 suspects since 1/2009. Pekanbaru (1); Siak (2), Rohul (1); Dumai (3); Pelalawan (2)
Confirmation:
DOD:


West Sumatra

Adm: 4/5
Name: Fitri Oktaviani (1)
From: I Penang Makmur, Kec. Sawalunto Sijunjung, Kab. Dharmasraya
Hospital: RSUP M. Djamil Padang
Sym Onset: Last week (?) fever/cough/breathless.
Recon: Comm. Hlth. Ctr.
Notes: Chickens died “last Friday”...4/3, or 3/27. On oxygen & infusion.
Confirmation:
DOD:

Padang, West Sumatera ::: 1,8-year-old suspect under treatment

[This article states she was sick for one week. That would put the onset at 3/29. And the poultry died on 3/27...Toggletext is not doing us any favors in some of these translations lately. Here is the original sentence: "Fitri telah sakit sejak seminggu lalu,"...dictionary definitions: "Fitri [already/by now] sick [since/from] a week previous/last". Dictionary link: http://indodic.com/popupindex.html]

April 7, 2009

A female pre-schooler suspect bird flu was treated in space of the internal disease isolation, RSUP M.Djamil Padang. These pre-schoolers, Fitri Oktaviani, 1.8 years came from falling on I Penang Makmur, Kecamatan Sawalunto Sijunjung, Kabupaten Dharmasraya . Fitri was treated in M. Djamil since Sunday (5/4) around struck 17,00 WIB after suffering the high fever and coughs.

"Purity was sick since a last week, he was feverish and coughs as well as breathless, has been brought to the Community Health Centre but did not recover," said Ngatiman, 35 years, the Fitri father when being met in the hospital, on Monday (6/4).

Finally the community health centre side suggested Fitri was brought to M. Djamil because of last Friday had approximately 40 chickens tetangganta that died suddenly. "But his condition has improved, he could have been asked by his mother playing, despite diruang the isolation while being waiting for Labor Party results of Jakarta," said Ngatiman. Although his condition improved, but Fitri still was given okigen and the infusion. His mother of Marasiah was forced to have to wear special clothes to enter isolation space to accompany his child.

Pre-schoolers from Dharmasraya Suspect

[The previous article spoke of the chickens dying "last Friday". That would put them dying on 4/3 or 3/27. Here it says Fitri developed a fever 3 days after the chickens died. She was also reconciled from a Comm. Hlth. Ctr. So, the poultry probably died on 3/27. She was brought to the Comm. Hlth. Ctr. sometime after developing a fever on 3/30.]

Selasa, 07 April 2009

SUSPECT FLU BURUNG: pre-schoolers from Dharmasraya ”FO”, 1.5 years, was expected (suspect) bird flu was accompanied by the mother underwent the maintenance in isolation space of RSUP Dr M. Djamil, Padang.

Padang, Padek -- RSUP Dr M. Djamil Padang again received the patient it was suspected (suspect) bird flu, on Sunday night (5/4). The patient had the initials ”FO”, 1.5 years, that the resident Pinangmakmur, Kenagarian Timpeh, of Kabupaten Dharmasraya. Three days before suffered the fever, the patient could physical contact with the chicken that afterwards died suddenly. ”FO” was the first patient, after five months space of the isolation of the bird flu patient in RSUP M. Djamil Padang empty.

The couple's child Ngatemen and Marsiah this, was suspected of suffering bird flu, after experiencing the high fever was accompanied breathless during the last three days. He got the maintenance in the room of the isolation. ”Pasien came with the condition for the high fever. The temperature of his body 39.7 levels celcius as well as breathless. Beforehand, the patient had the story of contact with the chicken that died suddenly. So as to be severed by us to treat in the room of the isolation, reduced the risk tertular,” said the Head of the Layanan Medis RSUP Field M. Djamil Padang, Irayanti to Padang Ekspres in his office, yesterday. Nevertheless, the doctor still could not confirm whether the positive patient bird flu. Because, to know positive not him contracted bird flu, must pass a series of Labor Party inspection. At this time, the patient was taken swap (throat mucus) to be checked in Balitbang Department of Health RI, as well as the taking of the sample of blood for the inspection in Labor Party.

When coming the condition for the patient had haemoglobin was abnormal, only 9.5 with the number of leucocytes as far as 15,000. This indicated the existence of the infection in the patient's body. In the ideal condition, maximal the number of leucocytes in the human body necessarily 6,000-10,000 leucocytes. In the room of the Rawat Inap Installation isolation (Irna) C Penyakit Dalam RSUP M. Djamil Padang, the patient was seen was accompanied by his mother, Marsiah. The patient was very weak with the coil of the infusion on left arms, and the slip of the oxygen hose on his nose. From time to time was seen by the patient experienced breathless in his mother's lap.


The optimist could recover
Ngatemen, the patient's father said, his daughter three days later suffered the fever was accompanied breathless. Before the fever, his child was taken by his mother went to the neighbouring house that maintained the chicken, and afterwards died suddenly. The Ngateman house clearance with his neighbouring house approximately 100 metre. Nevertheless, Ngatemen was not sure his child suffered bird flu, his article uptil now if suffering his child's fever also experienced breathless. ”Saya was, sure my child did not suffer bird flu, only was feverish. That could be carried out by me at this time only prayed, my second daughter could recover kembali,” he said. Ngateman also told, for the last three days, how several chickens belonging to his neighbour suddenly died suddenly. According to the Service staff local Livestock Breeding, three of the chickens that died this, evidently positive contracted bird flu. So as to recommend him to carry his daughter, direct to RSUP M.Djamil Padang.

Two Suspect Flu Burung Run Off from RSHS

Two patients suspect A bird flu (26) and F (14 months) bolted from the Hasan Sadikin Hospital. Both of them were the father and the child who were reconciled to RSHS by the Cipatat Community Health Centre on Friday (3/4/2009). The lack of the two patients suspect this bird flu was justified by the Managing Director RSHS Cissy R S Prawira. His incident was known on Monday (6/4/2009) the night. However Cissy denied both of them bolted. "They not bolted, but went out without permission," he said sembari informed that both of them have returned to their house in Cipatat.

Cissy said, if the patient wanted to come home had to have to to continue to say goodbye against the official that was in the room. But unfortunately, the security unit who guarded this room also did not know that the two patients left the room. "Yes, usually said goodbye." Usually had the security unit that guarded. But he also did not know, because knew-knew both of them already was not in the room, continued Cissy. He added, this was the first time to be experienced by RSHS for the patient suspect bird flu. Therefore, his side will tighten the security, including increasing the guard's personnel.

Uptil now Flamboyan Space the place suspect bird flu was treated was guarded by a security unit. While the gate headed Flamboyan Space also was not locked. "We never the key because beforehand had not happened like this," obviously Cissy.

Two Patients Bird Flu Run Off From Hospital

Selasa, 7 April 2009

Two patients suspect bird flu that was treated in RS Hasan Sadikin, (RSHS) Bandung escaped. The patient, the child's father, Faisal and Agus this was known escaped, on Monday struck 12,00 WIB on April 6 2009. Both of them escaped from Poinciana Tree space that was special space the isolation for the bird flu patient. "He has come home had (the term kedokteran,red)," said RS Hasan Sadikin Bandung Director, Cissy Kartasasmita, on Tuesday (7/4/2009). The two patients from Cipatat, Kabupaten Bandung Barat, this West Java made use of the official's carelessness of the Security Unit and the nurse of Poinciana Tree space. At "that time, the official and the nurse were having lunch, possibly he make use of moment this," obviously him. When bolting, Faisal brought his child of Agus. His side then will not carry out the search against the two patients.

"Because the laboratory side done to declare the negative to both patients those," he stressed. Even though a point in time even touched status both patients above-mentioned positive. Cissy will at once drop the team of the search off because of being worried will spread against the other resident. "Because this patient brought the illness that was very dangerous for the resident around and was easy to spread," he stressed. He admitted psychologically the patient who was treated in the room of the Poinciana Tree indeed did not put on the patient. "Possibly because SOP him that made them shock." In the future we will increase the guarding but also important parts as the window or the door will be tightened, he said
hat-tip Sally for link

Pre-schoolers Suspect Flu Burung Dirawat in M. Djamil

[Dharmasraya is in West Sumatra, map below story]

SENIN, 06/04/2009

A female pre-schooler suspect bird flu was treated in space of the internal disease isolation, RSUP M.Djamil Padang. These pre-schoolers, Fitri Oktaviani, 1.8 years came from falling on I Penang Makmur, Kecamatan Sawalunto Sijunjung, Kabupaten Dharmasraya . Purity was treated in M. Djamil since Sunday (5/4) around struck 17,00 WIB after suffering the high fever and coughs. "Purity was sick since a last week, he was feverish and coughs as well as breathless, has been brought to the Community Health Centre but did not recover," said Ngatiman, 35 years, the Fitri father when being met in the hospital, on Monday (6/4). Finally the community health centre side suggested Fitri was brought to M. Djamil because of last Friday had approximately 40 chickens tetangganta that died suddenly. "But his condition has improved, he could have been asked by his mother playing, despite diruang the isolation while being waiting for Labor Party results of Jakarta," said Ngatiman. Although his condition improved, but Fitri still was given okigen and the infusion. His mother of Marasiah was forced to have to wear special clothes to enter isolation space to accompany his child.

Click on map:

Official:: bird flu injured relatives and neighbors

Officials said he did not concern the spread of the disease Village

الأحد، 5 أبريل 2009 - 11:22 Sunday, April 5, 2009 - 11:22

Patients aged two years and years and 9 months

A Magdy Attallah Al-Chief of the Unit for the local center town of Badr in Beheira, the 61 cases and 62 of the bird-flu-affected children, Mohamed El-Shahat Mohamed Hassan Amer, two years, and Jamil Hassan Mohamed Hassan Amer, years and 9 months, with two children and live in adjacent houses and there is no is reason for concern about the spread of the disease in the village, pointing out that the discovery of the No. 62 came in the wake of the Committee of Five, consisting of health and veterinary medicine and the environment, security and the local unit to clean the child's home as soon as infection is suspected in the case 61, and suspected in 62 cases the situation has been booked Bhmyat revealed Damanhour analysis of HIV infection.
And Dr. Mahmoud Farid Director of the Directorate of Veterinary Medicine Lake, it was clear the area and that work is underway in the villages neighboring the region, pointing out that the situation is stable and there is no danger of the spread of the disease.

Bird flu enters the Egyptian children

القاهرة ـ (رويترز) - السبت 04 ابريل 2009
CAIRO (Reuters) - Saturday, 04 April 2009
According to reports yesterday that the Egyptian children were the virus that causes bird flu, and this is the case in which the sixty-second confirmed case of bird flu virus in Egypt, the States most affected by bird flu outside Asia, announced the seven human cases since the first of March.
And children, Hasan Jamil Hassan Mohammed, at the age of 21 months from the lake in the northern province of Egypt and that in the case of (good) after the treatment drug (Tamiflu).The injury comes after several days of a child at the age of two years of the same county the same virus.It was not known how the virus was a child but it is believed that the majority of Egyptians who were moved by the bird flu virus from infected domestic birds. Since the 2003 avian flu virus has infected at least 410 people in 15 countries and killed 254 of them And led to the deaths or culling of more than 300 million birds in 61 countries in Asia and the Middle East, Africa and Europe.He died after about 23 Egyptians infected with HIV, mostly after coming into contact with infected domestic birds in a country where the adoption of almost five million households that kept poultry at home as an important source of food and income.

6 residents Cipatat was expected by Burung Flu

Minggu, 05 April 2009

Six residents were expected suspect (was expected) bird flu in the Halteu Village, RT 1 RW 19, the Cipatat Village, Kec. Cipatat, Kab. Bandung was West. They experienced the hot sign, the cough, pilek, breathless, after holding and eating the chicken was sick. The six residents came from two families that that was neighbours. They were IN (2), whereas five other people came from one family that is AT (65), AG (25), the twin WI and WE (2.5), and FS (14 months). AT was the father from AG and the grandfather the three AG children that is FS, WI, and WE. In the meantime, in the environment of the sufferer's residence suspect the bird flu was found seventy poultries died, that is in RW 2, RW 5, and RW 19. The death of this poultry has been reported by the resident since last March 31.
That was sent by Kasie Kesehatan of the Dinas Peternakan Animal and Kab fisheries. Bandung was Barat, drh. Wiwin Aprianti through his mobile phone, on Saturday (4/4). According to him, after having the report from the resident, his side at once descended to the field. Further, the official took the example of a poultry died and did rapid test. "Results were proven, the sample" of the "poultry died that positive was affected by the virus H5N1." Afterwards we carried out selective depopulation or the limited extermination against the poultry that a pen, a yard, and that was seen was sick, he said. Wiwin explained, the death of this poultry was around the sufferer's house suspect bird flu. According to the acknowledgment of the wife AG, his family ate the poultry was sick that was fried. Moreover, his twin had held the poultry that was sick.

According to Wiwin, his side co-operated with Dinkes in his control. The three children AG have been carried to the Hospital of Hasan Sadikin Bandung on Saturday (4/4) struck 12,30 of WIB. Sebelumnya, on Friday struck 22,00 WIB AG has been reconciled more previously to RSHS. Sedangkan DI and AT still was treated in their house was their respective. According to him, the bird flu findings in this village were the first time. Beforehand, had been found by the similar case in Kec. This Cipatat but in the different territory. Membaik In the meantime, the Secretary of the Kab Health of the Service. Bandung was Barat, Iwan Mulyawan said, six people suspect bird flu was reconciled to RSHS. Mereka was treated in Flamboyan Space.

Up until Saturday afternoon, according to Iwan, the AG condition began to improve. "This condition not yet endemi and lest endemi," he said. That was also justified by Tim Doctor Penanggulangan Chairman of RSHS Bird Flu, Dr. Hadi Jusup, Sp.P.D.-KPTI. Menurut he, the condition for the patient suspect the resident's bird flu Cipatat Kab. Bandung gradually got better. The "patient AG entered Space of Flamboyan RSHS Bandung, on Saturday (4/4), struck 3,00 of WIB. Dia came with the cough complaint, pilek, and hot." The condition was like that experienced by AG since three days ago, said Hadi Jusup. Whereas FS that was the child from AG, entered RSHS several hours at intervals of, with the condition for the cough and hot. "The two patients were put into Flamboyan Space." The two patients have been taken the sample of blood and apus the throat, henceforth was sent to Balitbangkes Pusat, he said. (A-62/A-183/A-187) ***

RSHS Rawat Ayah and the Child Suspect Flu Burung Bandung

04/04/09 20:01 (Antara News) - Great (25) and Firman (14 months), the Father and the child of the Village of the Village Stop of Cipatat RT01 RW04 of the resident's uterus the Bandung Regency West be forced in treated in RSHS Bandung because susfect (was expected) Bird Flu. The head of the Cipatat Community Health Centre, drg Wahyu, on Saturday, said, before being reconciled to RSHS Bandung, yesterday (3/4) Great and Firman could receive the maintenance from his side. "Beforehand we indeed came to the father's residence Firman and after being checked indeed had affected signs" of "bird flu like the cough, breathless and feverish," he said. According to him, knew the existence of signs of bird flu, his side at once reconciled Firman to RSHS Bandung to get the maintenance was more intensive. The "night yesterday, around struck 09,30 nights, we brought Firman to RSHS Bandung whereas his child of Firman was carried this morning around 10.00 the morning" he said. He explained, on the Monday (30/3) then, his side got the report from the Kesehatan Service of the Regency Bandung Barat that in the area of the Halte Village often was found by the chicken died suddenly. On "last Monday, Dinas Kesehatan carried out the surprise inspection to the Halte Village related the report" on the "resident who stated many chickens died suddenly," said drg Wahyu. Knew this matter, the Kesehatan Service and Livestock Breeding of Kabupaten Bandung immediately did penyemporatan the liquid disinfektan in the Halte Village. At this time, the two patients susfect bird flu was from this Halte Village treated in Poinciana Tree space of RSHS Bandung. The side of RSHS Bandung, went through the Team of the Handling of Bird Flu, Dr Hadi Yusuf confirmed that there is two patients susfect bird flu from Cipatat, Kabupaten Bandung Barat in treated in Poinciana Tree space of RSHS Bandung. It was "true that had the new patient suspect bird flu that in treated here, his initials of A his age" 25 years and F his age 14 months, both of them that the father and the uterus child," he said short. He explained, that two patients could carry out direct contact with the poultry in his residence that died suddenly. The "poultry in the patient's residence many that died, suddenly, were frightened by them was affected by bird flu," said Dr Hadi. (*)

Quang Ninh declared free of bird flu disease

April 4, 2009

Nhan Dan –The People’s Committee of northern province of Quang Ninh on April 2 declared that the province had been free from bird flu and foot-and-mouth diseases. However, the provincial unit in charge and local authorities are assigned to enhance further the control over the poultry and cattle slaughter, monitor food safety and hygienic conditions for poultry trading in the province.

The risk of infected wild slaughter of dogs, cats

---

Thói quen ăn thịt chó phổ biến Habits eat dog common ở nhiều nước châu Á. in many Asian countries. NDĐT - Tạp chí phản biện y học quốc tế PLoS Medicine vừa công bố một nghiên cứu cho thấy nguy cơ mắc bệnh dại từ việc giết mổ chó và mèo. NDDT - Journal reflective action international medical PLoS Medicine has published a study showing the risk of infected wild slaughter of dogs and cats. Trong nghiên cứu công bố ngày 18-3 trên tạp chí PLoS Medicine, TS Heiman Wertheim thuộc Mạng lưới nghiên cứu lâm sàng các bệnh truyền nhiễm ở Đông – Nam Á* và các đồng nghiệp thuộc Viện Các bệnh truyền nhiễm và Nhiệt đới Quốc gia và Viện Vệ sinh Dịch tễ Trung ương ở Hà Nội, đưa tin hai người bệnh phải nhập viện với triệu chứng bệnh dại và sau đó đều tử vong. In research published on 18-3 on the magazine PLoS Medicine, Dr. Heiman Wertheim Network clinical research of infectious diseases in East - South Asia * and colleagues under the Institute of Infectious Diseases and Tropical Country Institute of hygiene and epidemiology in central Hanoi, says two people to hospital with symptoms of the disease and then is death. Cả hai không hề bị các động vật có khả năng truyền bệnh dại cắn những tháng trước đó. Both are not animals can transmit diseases to wild bites months previously. Người bệnh thứ nhất là một công nhân xây dựng 48 tuổi, giết mổ và ăn thịt con chó bị xe chẹt chết trên đường hai tháng trước khi nhập viện. Patients first is a construction worker 48 years old, slaughter and eat dogs were dead car died on the road two months before hospitalization. Bệnh nhân kể, khi giết mổ con chó này, ông có đi găng tay bảo hộ lao động. Including patients, the slaughter this dog, he has gloves to protect workers. Ông không cho rằng mình đã bị xướt xát hay đứt tay khi làm thịt chó. He does not believe that they have been xuot xát or break your hands when making dog meat. Những người khác ăn thịt chó hôm đó đều vẫn khoẻ mạnh. Others eat the dogs that are still healthy. Thịt chó đã được nấu kỹ trước khi ăn. Dog meat has been cooked thoroughly before eating. Người bệnh thứ hai là một nam nông dân 37 tuổi, giết mổ và ăn thịt con mèo bị ốm từ ba ngày trước đó. The second patient is a male age 37 farmer, slaughter and eat the cat was sick three days before. Ba tuần sau khi ăn thịt mèo, ông phải nhập viện. Three weeks after the cats eat, he must be hospitalized. Những người khác ăn thịt mèo hôm đó vẫn bình thường. Others eat the cat is still normal. Các chuyên gia không thể kiểm nghiệm các con vật bị giết thịt có mắc bệnh dại hay không nên không hoàn toàn khẳng định những con vật này là nguồn bệnh. Experts can not test the animals are killed meat with infected wild or not it is not completely confirmed the source of this disease. Tuy nhiên, họ lưu ý, việc giết thịt các con chó/mèo chưa được tiêm vaccine ở những nước vẫn còn bệnh dại có thể là yếu tố dẫn đến truyền bệnh. However, they note, the meat to kill the dog / cat has not been injected vaccine in the country is still wild disease may be factors leading to disease transmission. TS Wertheim và các đồng nghiệp cho rằng, việc lây bệnh nhiều khả năng do giết mổ chứ không phải do ăn thịt, bằng chứng là nhiều người khác cũng ăn thịt những con vật đó nhưng vẫn khoẻ mạnh. Dr. Wertheim and colleagues believe that the spread the disease more likely to slaughter do not eat the meat, evidence that many other people also eat the animals that are still healthy. “Chúng ta cần cảnh báo cả người dân và các thầy thuốc lâm sàng về nguy cơ chung quanh việc giết mổ và chế biến thịt chó, mèo. "We need to alert the people and their doctors about clinical risk around the slaughter and processing of dog meat, cat. Người dân không nên giết mổ những con vật có thể đã mắc bệnh dại. People should not slaughter the animals may have infected wild. Bệnh dại có thể phòng ngừa bằng vaccine và những người phơi nhiễm với bệnh dại có thể đi chủng ngừa sau phơi nhiễm, nhưng phải càng sớm càng tốt. Diseases we can prevent with vaccine and cure infection with the disease can go wild immunized infected after exposure, but as soon as possible. Một khi đã xuất hiện triệu chứng của bệnh dại thì hầu như cầm chắc tử vong. Once symptoms appear the disease is long, they most certainly as death. Các bác sĩ Việt Nam đã coi việc giết mổ là yếu tố nguy cơ dẫn đến lây truyền bệnh dại nhưng điều quan trọng là các cán bộ y tế khác, các nhà hoạch định chính sách, cả ở trong và ngoài Việt Nam, nhận thức được yếu tố nguy cơ này,” TS Wertheim nói. Doctors Vietnam has seen the slaughter as risk factors to disease spread wild but it is important that health staff other, the policy, both in and outside Vietnam, awareness be factors this risk, "said Dr. Wertheim. Ở Việt Nam, những người làm việc ở các lò mổ chó được tiêm vaccine phòng bệnh dại theo chương trình phòng chống bệnh dại quốc gia. In Vietnam, people who work in the furnace open to the injected vaccine with prevention programs to prevent disease wild country. Tuy nhiên, việc giết mổ chó, mèo tại nhà còn khá phổ biến. However, the slaughter dogs, cats at home are quite common. Bệnh dại rất nguy hiểm và hầu hết các trường hợp mắc bệnh đều tử vong. Wild disease is dangerous and most cases are fatal. Ước tính ở châu Á, khu vực có nhiều nước còn phổ biến thói quen ăn thịt chó, mỗi năm có hơn 30 nghìn người tử vong vì bệnh dại. Estimated in Asia, the area also have many common habits eat dog, every year more than 30 thousand people died because of disease wild. Triệu chứng bệnh dại gồm co giật , sốt, sợ nước và không còn phản xạ uống, cuối cùng là tử vong. Disease symptoms include wild CONVULSIONS, fever, fear and no longer drink reflexes, ultimately death. Các con vật có thể truyền bệnh dại qua vết cắn của mình là chó, mèo và dơi. The animals may transmit disease long traces bite your dog is, and move cats. Thời gian ủ bệnh thường kéo dài từ một đến ba tháng. Time ủ disease usually lasts from one to three months. --- --- * Mạng lưới nghiên cứu lâm sàng các bệnh truyền nhiễm ở Đông – Nam Á do Quỹ Wellcome Trust của Anh (chuyên tài trợ các nghiên cứu về y sinh) và Viện Nghiên cứu Quốc gia về các bệnh dị ứng và truyền nhiễm, Viện Y tế Quốc gia của Mỹ tài trợ. * Network clinical research of infectious diseases in East - South Asia Fund by Wellcome Trust UK (specialist funded research on medical students) and Research Institute of the National allergic disease and infection, health Nationality in American funding.

Philippines-Foot and Mouth restrictions.

04/04/2009 01:50:27
Enforcement agents of the Bureau of Customs will be on alert against imported cattle and meat products from Taiwan and Lebanon following the reported outbreak of foot and mouth disease in the two countries.
This was stressed by Intelligence and Enforcement Group (IEG) acting chief Jairus Paguntalan who said that it is part of the Bureau’s standard operating procedure to circularize any memorandum from any government agency and issue their own memorandum to alert their personnel, especially if it concerns the health and safety of the Filipino consumers.
Customs Intelligence and Investigation Service (CIIS) OIC at the Port of Manila Johnny Martinez said that even without the ban, they are already very vigilant against the entry of contaminated food products.
"This is a year round activity, we are monitoring all shipments but we are especially wary of the entry of any poultry products contaminated by bird flu and also, for meat—for those contaminated by foot and mouth disease," he said.
Martinez also said that refrigerated containers bearing such goods are also required to undergo x-ray scanning and 100 percent examination in accredited cold storage facilities of the National Meat Inspection Services (NMIS).
In compliance to the ban order, Martinez said that incoming meat shipments from the two countries will immediately be placed on alert, until such time clearance is granted by the Bureau of Animal Industry (BAI).
Agricultural goods are regulated items that require import permits from government line agencies such as the Bureau of Plant Industry and the BAI prior to importation. Absence of the document would immediately deem the shipment as contraband, subject to seizure and forfeiture.
The Department of Agriculture (DA) has ordered a ban on the importation of cattle and other animals from after the World Animal Health Organization (WAHO) confirmed the outbreak in Taiwan and Lebanon.
FMD was detected in a dairy cattle farm in the province of Kamed El-Iouz in Lebanon while the disease was discovered among swines in the Maoliao township, Yun-Lin and Beidou town in Chang-hua, Taiwan

RSHS Again treated 2 Suspect Flu of Burung Tya Eka Yulianti -

Saturday, 04/04/2009 18:04 of WIB detik
Bandung Bandung - came back Rumah Sakit Hasan Sadikin (RSHS) Bandung received two patients who were expected terjangkit bird flu. The two patients this was the resident Cipatat, Kabupaten Bandung Barat, and one family. According to Chairman Tim of the Handling of Bird Flu, Dr Hadi Yusuf, the patient A (26) and F (14 months) was the recommendation from the community health centre in Cipatat. From both of them was found by the story of contact with the poultry. "Their neighbouring chicken there are those that died suddenly, was frightened by him was affected by bird flu," said Hadi. It was further that Hadi said, the two patients when entering RSHS in the hot situation high was accompanied by the cough. "But was not crowded (the breath)," said Hadi. At this time was second this patient was treated in poinciana tree space of RSHS Bandung. Hadi said the condition both of them in the good situation and was not installed respiratory aids.

Egypt: a threat to the transformation of crows bird flu pandemic

Hamida Mohammed from Cairo: source warned the Institute of Plant

"

Protection Research Center of Agricultural Research of a disaster, because millions of Araban epidemic spread widely prevalent in a large number of governorates of Egypt, the source said that the center of the Ilaf received many complaints, especially from the provinces affected farmers according to the channel is broad and sustained large losses due to the proliferation of crows, which feed on crops and plants, he said, adding that turned into crows from eating the carcass, which is available in the provinces of the Canal during the war to have their crops at this time.
What constitutes a serious capacity of these crows fly friction and poultry production plants, which could lead to carry the avian influenza virus result feels poultry, and the result is disaster, epidemic," said the source.

The bird flu arrived in Egypt to the alarming level of the global health community having reached the number of human cases of the disease to 60 people since it appeared in Egypt in 2006, is the children and women victims of avian flu in Egypt, which is one of the countries with high rates of infection due to the proliferation of breeding birds indoors, particularly in rural areas and the occurrence of Egypt on the path of migratory birds carrying the disease.

The Government has begun to deal with the disease in an unorthodox manner, after years of negligence in the prevention of the disease to the accusations of an international health organizations as long as the reports confirmed the inadequacy of the Egyptian efforts in dealing with the problem. The Environment Ministry has decided to use a sophisticated system for monitoring the disease, which carried by migratory birds comes to the natural reserves in Egypt, using satellites, a move was delayed for several years, according to some.
This method relies on the development of precision machines for migratory birds and follow-up of the use of satellites anywhere in the world and track their migration routes, in order to know the extent of its proximity or remoteness from the sources of infections disease.
Minister of Environment Maged George - the development of precision machines in the feet of birds and follow-up of 45 satellites, and use this system, China, Nigeria and Kenya.

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More, Dead Poultry Mendadak

Saturday, April 04, 2009, 07:07:00


PEKANBARU (RP) - Based on the findings of Public Health (Diskes) Pekanbaru Friday (3 / 4), found two people fell ill on the road Rejosari fever heat. Officers also found two chickens that died suddenly poultry. This location is just 500 meters from the place of Ibn Wahyu Saputra, victims of bird flu.

But Kasi Observation and Disaster Diskes Pekanbaru, SKM Naviri can not ensure that the birds died suddenly with this because if the bird flu virus.

Identisifikasi still need to be more about the death of this bird.

Identisifikasi''in the field, we have the findings of the two residents fever heat. From the results of the health check, only two people this fever are common. But we still give tamiflu drug,''said Naviri to Riau Pos, Friday.

According to him, the death of Revelation are very psychological impact on the residents. Most residents feel fear again mewabahnya bird flu virus in humans. These problems are diminimalisir by the City Government (Pemko) Pekanbaru.

Diskes as institutions that have any obligation to do prevention, continued, until Saturday (11 / 4) future, Diskes akan conduct in the supervision. Home residents, especially the distance of 500 meters.

''Agriculture and Public Health Pekanbaru given the task to handle specific problems this bird flu virus. Distan also make your own disinfectant and depopulasi, housing residents who have poultry,''he said.

It is feared bird flu could become more frightening

M. Azis Tunny , THE JAKARTA POST , RANTEPAO, TORAJA Sat, 04/04/2009 10:21 AM Headlines

There is a need to raise awareness of bird flu because of a real threat: It could turn into something much more frightening than the H5N1 virus.

The frightening thing would be if the virus caused a pandemic if and when it became able to spread among humans, Coordinator of Surveillance and Monitoring at the National Commission on Bird Flu Control and Awareness on Influenza Pandemic (Komnas FBPI) Heru Setijanto said Friday.

Setijanto said Indonesia was currently ranked highest in the world in the number of deaths from bird flu, and was unprepared as to how to deal with a pandemic.

“The incubation period of the virus is very fast and deadly when contracted by humans. We are
not ready to face a pandemic if the situation arises,” Setijanto told The Jakarta Post on the sidelines of a national seminar on a Bird Flu Pandemic Response Simulation in Toraja, South Sulawesi.

He said Indonesia was ill-equipped to face the bird flu pandemic because training was only provided so far to personnel at government ministries and agencies.

“When it turns into a pandemic, it becomes a multi-sector problem and would involve every sector. We are unprepared as of now, especially for other sectors to [cope with] the epidemic,” he said.

According to Setijanto, the bird flu virus will always mutate and this is a cause for grave concern.
When contracted by humans, the incubation period of the H5N1 virus could cause death rapidly, in as little as five days.

Indonesia so far remains on top of the world chart with the highest number of deaths from H5N1.

Data at the Health Ministry showed 121 of the 145 patients diagnosed as infected with the virus had died, a very high fatality rate.

He added a bird flu pandemic could claim many lives and that 30 percent of the world’s population could be at risk.

In Indonesia, said Setijanto, a bird flu epidemic from the H1N1 viirus once took place in Toraja. The disease, then termed a mysterious breathing disease, reportedly claimed 210,000 lives.

Head of the Makassar office of the United Nations International Childrens’ Education Fund (UNICEF) Purwanta Iskandar told the Post that bird flu should not be taken lightly.

The disease has been recorded over the past 100 years and has claimed millions of lives throughout the world, including in Indonesia. For example, in Toraja in 1918, about 10 percent of the local population reportedly died from lung disease.

“Experts have said that it is highly likely that we will experience it again in the near future, although the exact time remains unclear. Our assumption is that a pandemic is very likely to infect 30 percent of the population,” said Purwanta.

In the framework of preparing in anticipation of a pandemic, Komnas FBPI has worked together with UNICEF, the Canadian government and the South Sulawesi provincial administration to help organize the national seminar on a Bird Flu Pandemic Response Simulation in Toraja from April 1 to April 4.

Alert over sore throat bug that has killed more than 100 people in three months

More than 100 people have died from a bug that normally causes sore throats as cases rise by two thirds and all GPs are warned to be on the look out for signs of the infection.

Last Updated: 1:51PM BST 03 Apr 2009

Officials have warned cases of invasive Streptococcal A have risen sharply this year, a more deadly strain of the bug is circulating and it is thought to have claimed the lives of one in four of those infected.

Strep A normally causes sore throats but in some cases it can infect other parts of the body causing meningitis, pneumonia, sepsis and septic arthritis and other complications. One in five people die within a week, rising to between 40 and 50 per cent of those who suffer toxic shock syndrome, another possible complication of invasive Strep A.

The Department of Health has issued an urgent written alert to all GPs to warn them of the symptoms to look out for which can be vague and similar to flu, but prompt action is vital to ensure patients are given the best chance of survival.

In the letter Prof Brian Duerden, Inspector of Microbiology and Infection Control, said between November last year and February there have been over 500 cases, a 62 per cent increase on the same period in the previous year.

He said: "This is of particular concern as initial reports suggest a possible increase in the case fatality rate to around 25 per cent."

Cases are spread out and not found in clusters with the disease striking all ages but older people are at greatest risk, Prof Duerden said.

People who have skin lesions, have recently had chickenpox, had a child recently or have had a respiratory infection are at greater risk along with people suffering from long-term conditions such as heart disease, cancer, diabetes, alcoholism or have a weakened immune system.

Prof Duerden told GPs: "Suspected invasive group A Streptococcal cases should be assessed rapidly in hospital and treated promptly.

"Clinical deterioration in patients with iGAS can be very rapid. Early recognition of possible signs and symptoms of iGAS and prompt treatment may be life saving."

He listed symptoms as general malaise, high fever, severe muscle aches, unexplained diarrhoea and vomiting, dizziness, low blood pressure, confusion, localised muscle tenderness or severe pain out of proportion to external signs and a flat red rash over large areas of the body.

Previous strep throat infection should be considered and close contacts of confirmed cases should be given antibiotics if they have symptoms, the letter said.

The Health Protection Agency monitors invasive group A streptococcal infection which normally affects around 1,200 people each year.

Dr Robert George, from the Health Protection Agency, said: "Group A strep is a common bacterium found in the throat and on the skin and may be carried for long periods of time without causing any illness. The infections we are talking about here remain uncommon and are at the severe end of the spectrum.

"Invasive strep infections can be treated with antibiotics and clinicians have received a timely reminder of the signs and symptoms of this infection and how to treat it.

"The current increases we're seeing may be attributable to the natural cycle of the disease with some 'quiet' years followed by a year of high incidence.

"The HPA is monitoring the situation closely."

Scientist ill from dengue virus

Michael McKenna April 04, 2009

DENGUE fever claimed its first victim outside the sub-tropics when a Brisbane-based scientist fell ill while working on concentrated strains of the virus.

It is not yet known how the Queensland Institute of Medical Research scientist contracted the virus 10 days ago.

Queensland Health said yesterday there was "no risk" of dengue spreading to the southeast corner of the state.

Chief Health Officer Jeanette Young said tests were being conducted on other QIMR researchers and stricter safety protocols had been ordered at the laboratory at Herston, in Brisbane's inner north.

"From a public health point of view there is no risk at all," Dr Young said. "For a member of the public to be infected with the virus, they must be bitten by an Aedes aegypti mosquito that is carrying the virus. This mosquito does not currently inhabit southeast Queensland."

The male researcher was admitted to hospital and has since been released. Dr Young said there were strict safety protocols at the laboratory, including multiple air-lock doors.

"He was working on a concentrated strain of the virus," she said. "We don't know how he has actually been infected but we are enhancing personal protection in the laboratory."

The Brisbane infection follows a summer-long outbreak of the disease, which last month claimed the life of an 82-year-old Cairns woman.

It was the first death in Australia associated with dengue fever since two Torres Strait Islanders died in 2004.

Since a dengue outbreak was declared in Cairns last December, there have been more than 560 people confirmed to have contracted the virus.

Another 70 people have been infected in a separate outbreak in Townsville and small clusters of cases have been reported in Port Douglas, Yarrabah, Injinoo and Innisfail, Queensland.